Individual provider Active NPI

Peyton Moro

  • Physician Assistant
  • Sellersville, PA
National Provider Identifier
1881577716
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA067057 Issued in PA
Practice address
1107 Bethlehem Pike
Sellersville, PA 18960-1454
Phone
(484) 526-6545
NPI assigned
Jul 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA067057 PA Primary

Addresses

Primary practice location

1107 Bethlehem Pike
Sellersville, PA 18960-1454

Mailing address

12 Adams CT
Pearl River, NY 10965-1501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251031004089 PA Practitioner - Physician Assistant 5698264208 Reassigns benefits to 1 organization
I20260526001630 NJ Practitioner - Physician Assistant 5698264208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

1107 Bethlehem Pike
Sellersville, PA 18960-1454
Phone (267) 985-5000

4505 Saucon Creek Rd
Center Valley, PA 18034-8481
Phone (484) 526-6545

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA067057PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Oct 27, 2025 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Oct 27, 2025 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

142 Clemens Rd
Ste 200
Harleysville, PA 19438
Phone (267) 985-5000

1021 Park Ave
Ste 200
Quakertown, PA 18951
Phone (215) 538-1300

1107 Bethlehem Pike
Sellersville, PA 18960
Phone (215) 257-3011

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1881577716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ADAMS CT",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109651501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 BETHLEHEM PIKE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601454",
            "telephone_number": "484-526-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORO",
        "first_name": "PEYTON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA067057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.